<form id="cpanel_modify_form">
	<?php echo CHtml::textField('modifyVariables[MAXPOP]', '', array('placeholder' => 'Email Accounts', 'class' => 'fields')); ?>
	<?php echo CHtml::textField('modifyVariables[MAXFTP]', '', array('placeholder' => 'FTP Accounts', 'class' => 'fields')); ?><br />
	
	<?php echo CHtml::textField('modifyVariables[MAXLST]', '', array('placeholder' => 'Mailing Lists', 'class' => 'fields')); ?>
	<?php echo CHtml::textField('modifyVariables[MAXSQL]', '', array('placeholder' => 'SQL Databases', 'class' => 'fields')); ?><br />
	
	<?php echo CHtml::textField('modifyVariables[MAXPARK]', '', array('placeholder' => 'Parked Domains', 'class' => 'fields')); ?>
	<?php echo CHtml::textField('modifyVariables[MAXADDON]', '', array('placeholder' => 'Addon Domains', 'class' => 'fields')); ?><br />
	
	<?php echo CHtml::textField('modifyVariables[MAX_EMAIL_PER_HOUR]', '', array('placeholder' => 'Max Hourly Emails', 'class' => 'fields')); ?>
	<div class="input-append">
		<?php echo CHtml::textField('modifyVariables[MAX_DEFER_FAIL_PERCENTAGE]', '', array('placeholder' => 'Max % Failed Messages', 'class' => 'fields')); ?>
		<span class="add-on">%</span>
	</div>
</form>